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NPI Code Detail

MEDICARE: RACHEL ELIZABETH MODARELLI MD

MEDICARE: RACHEL ELIZABETH MODARELLI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080P0205XPediatric Endocrinology Physician0101285263VA
2208000000XPediatrics Physician0101285263VA

General Provider Information

NPI Number : 1962963058
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL ELIZABETH MODARELLI MD
Provider Business Mailing Address
First Line : PO BOX 37174
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3174
Country : US
Telephone Number : 571-423-5699
Fax Number : 571-423-5698
Provider Business Practice Location Address
First Line : 8280 WILLOW OAKS CORPORATE DR STE 300
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4526
Country : US
Telephone Number : 571-472-4300
Fax Number : 571-665-6771
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2019
Last Update Date : 05/05/2026

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Directions to “ RACHEL ELIZABETH MODARELLI MD” Practice Location

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